My question is related to a pediatric home health case that I do. The child is 12 years old and NPO, on Gt feedings QID. She has a hx of Sz disorder, encephalopathy, CP and reflux. The main issue is her wt. gain. It is has been very hard over the past 2 years to get wt. on her. She gets 38oz. of Ensure/Ensure Plus (mixed) and is having a really hard time tolerating anymore. As we try to gradually increase the amt., she has more episodes of reflux--a lot of gagging with occasional emesis. I thought I remembered hearing about something that you could add to the Gt feedings, some type of additive to help boost calories. Does anyone know of such a product or have any suggestions. Thanks